# GREATER GENESEE COUNTY ACO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225426711
- **Authorized official:** DR. SAMASANDRAPALYA KIRAN MD (CHAIRMAN)
- **Authorized official phone:** (810) 720-4200

## Contact information

- **Practice address:** 1397 S LINDEN RD, SUITE D, FLINT, MI 48532-4194
- **Practice address phone:** (810) 720-4200
- **Practice address fax:** (810) 720-2711
- **Mailing address:** 1020 CHARTER DR, SUITE D, FLINT, MI 48532-3584
- **Mailing address phone:** (810) 720-4200
- **Mailing address fax:** (810) 720-2711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |

## Other

- **Enumeration date:** 01/06/2015
- **Last updated:** 01/06/2015